Dr Erson Paul Religioso Iii, DPT | |
6029 Pinehurst Ct, Lake View, NY 14085-9203 | |
(716) 980-5686 | |
Not Available |
Full Name | Dr Erson Paul Religioso Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6029 Pinehurst Ct, Lake View, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881628709 | NPI | - | NPPES |
02071718 | Medicaid | NY | |
837712 | Other | NY | MANAGED PHYSICAL NETWORK |
9310992 | Other | NY | IHA |
00011174501 | Other | NY | UNIVERA |
000626077001 | Other | NY | BC/BS |
6699290 | Other | NY | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 018386 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Erson Paul Religioso Iii, DPT 6029 Pinehurst Ct, Lake View, NY 14085-9203 Ph: (716) 980-5686 | Dr Erson Paul Religioso Iii, DPT 6029 Pinehurst Ct, Lake View, NY 14085-9203 Ph: (716) 980-5686 |
Vanessa Yates, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6530 Versailles Rd, Lake View, NY 14085 Phone: 716-523-2602 |